MEGAN MAE KULLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180680

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

MAE

Last Name

KULLMAN

Business Name

MEGAN MAE KULLMAN

Original Issue Date

11/21/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009